Journal of Prosthetic Dentistry

Modification of denture teeth for improved occlusal stability of a maxillary removable complete denture opposed by a mandibular implant-supported fixed complete denture: A clinical report

  • Anhar Basunbul
    Corresponding author: Dr Anhar Basunbul, Faculty of Oral & Maxillofacial Prosthodontics Department, King Abdulaziz University Jeddah SAUDI ARABIA
    Candidate for DScD, Division of Postdoctoral Prosthodontics, Department of Restorative Sciences & Biomaterials, Boston University Henry M. Goldman School of Dental Medicine, Boston, Mass

    Candidate for Assistant Professor, Faculty of Oral & Maxillofacial Prosthodontics Department, King Abdulaziz University, Jeddah, Saudi Arabia
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  • Gurkan Goktug
    Assistant Professor, Division of Postdoctoral Prosthodontics, Department of Restorative Sciences & Biomaterials, Boston University Henry M. Goldman School of Dental Medicine, Boston, Mass
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  • Steven M. Morgano
    Professor and Chairman, Department of Restorative Dentistry, Rutgers School of Dental Medicine, Newark, NJ
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      Wear of artificial teeth is the most common complication associated with an implant-supported fixed complete denture (ISFCD). This wear alters the occlusal scheme, with loss of eccentric occlusal balance and vertical dimension of occlusion (VDO). This clinical report describes the fabrication of a new maxillary removable complete denture opposing an existing ISFCD with occlusal modifications. Both prostheses received splinted zirconia crowns cemented with composite resin cement.
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        • Adell R.
        • Lekholm U.
        • Rockler B.
        • Brånemark P.I.
        A 15-year study of osseointegrated implants in the treatment of the edentulous jaw.
        Int J Oral Surg. 1981; 10: 387-416
        • Elaskary A.
        Fundamentals of esthetic implant dentistry.
        John Wiley & Sons, Hoboken2008: 355
        • Box V.H.
        • Sukotjo C.
        • Knoernschild K.L.
        • Campbell S.D.
        • Afshari F.S.
        Patient-reported and clinical outcomes of implant-supported fixed complete dental prostheses: a comparison of metal-acrylic, milled zirconia, and retrievable crown prostheses.
        J Oral Implantol. 2018; 44: 51-61
        • Ekelund J.-A.
        • Lindquist L.W.
        • Carlsson G.E.
        • Jemt T.
        Implant treatment in the edentulous mandible: a prospective study on Brånemark system implants over more than 20 years.
        Int J Prosthodont. 2003; 16: 602-608
        • Zarb G.A.
        • Schmitt A.
        The longitudinal clinical effectiveness of osseointegrated dental implants: the Toronto study. Part II: the prosthetic results.
        J Prosthet Dent. 1990; 64: 53-61
        • McKinney R.V.
        Endosteal dental implants.
        Mosby Year Book, St. Louis1991: 473
        • McGlumphy E.A.
        • Hashemzadeh S.
        • Yilmaz B.
        • Purcell B.A.
        • Leach D.
        • Larsen P.E.
        Treatment of edentulous mandible with metal-resin fixed complete dentures: a 15- to 20-year retrospective study.
        Clin Oral Implants Res. 2019; 30: 817-825
        • Barootchi S.
        • Askar H.
        • Ravidà A.
        • Gargallo-Albiol J.
        • Travan S.
        • Wang H.-L.
        Long-term clinical outcomes and cost-effectiveness of full-arch implant-supported zirconia-based and metal-acrylic fixed dental prostheses: a retrospective analysis.
        Int J Oral Maxillofac Implants. 2020; 35: 395-405
        • Bozini T.
        • Petridis H.
        • Garefis K.
        • Garefis P.
        A meta-analysis of prosthodontic complication rates of implant-supported fixed dental prostheses in edentulous patients after an observation period of at least 5 years.
        Int J Oral Maxillofac Implants. 2011; 26: 304-318
        • Purcell B.A.
        • McGlumphy E.A.
        • Holloway J.A.
        • Beck F.M.
        Prosthetic complications in mandibular metal-resin implant-fixed complete dental prostheses: a 5- to 9-year analysis.
        Int J Oral Maxillofac Implants. 2008; 23: 847-857
        • Preis V.
        • Hahnel S.
        • Behr M.
        • Rosentritt M.
        Contact wear of artificial denture teeth.
        J Prosthodont Res. 2018; 62: 252-257
        • Hao Z.
        • Yin H.
        • Wang L.
        • Meng Y.
        Wear behavior of seven artificial resin teeth assessed with three-dimensional measurements.
        J Prosthet Dent. 2014; 112: 1507-1512
        • Jemt T.
        • Johansson J.
        Implant treatment in the edentulous maxillae: a 15-year follow-up study on 76 consecutive patients provided with fixed prostheses.
        Clin Implant Dent Relat Res. 2006; 8: 61-69
        • Balshi T.J.
        • Wolfinger G.J.
        • Alfano S.G.
        • Balsh S.F.
        The retread: a definition and retrospective analysis of 205 implant-supported fixed prostheses.
        Int J Prosthodont. 2016; 29: 126-131
        • Abdulmajeed A.A.
        • Lim K.G.
        • Närhi T.O.
        • Cooper L.F.
        Complete-arch implant-supported monolithic zirconia fixed dental prostheses: a systematic review.
        J Prosthet Dent. 2016; 115: 672-677.e1
        • Güth J.-F.
        • Stawarczyk B.
        • Edelhoff D.
        • Liebermann A.
        Zirconia and its novel compositions: what do clinicians need to know?.
        Quintessence Int. 2019; 50: 512-520
        • Kontonasaki E.
        • Rigos A.E.
        • Ilia C.
        • Istantsos T.
        Monolithic zirconia: an update to current knowledge. Optical properties, wear, and clinical performance.
        Dent J. 2019; 7: 90
        • Yang L.
        • Chen B.
        • Xie H.
        • Chen Y.
        • Chen Y.
        • Chen C.
        Durability of resin bonding to zirconia using products containing 10-methacryloyloxydecyl dihydrogen phosphate.
        J Adhes Dent. 2018; 20: 279-287
        • Goodacre C.J.
        Designing tooth preparations for optimal success.
        Dent Clin North Am. 2004; 48: 359-385
        • Woelfel J.B.
        Processing complete dentures.
        Dent Clin North Am. 1977; 21: 329-338
        • The glossary of prosthodontic terms
        Ninth edition.
        J Prosthet Dent. 2017; 117: e1-e105
        • Drago C.
        • Howell K.
        Concepts for designing and fabricating metal implant frameworks for hybrid implant prostheses.
        J Prosthodont. 2012; 21: 413-424
        • Rojas-Vizcaya F.
        Full zirconia fixed detachable implant-retained restorations manufactured from monolithic zirconia: clinical report after two years in service.
        J Prosthodont. 2011; 20: 570-576
        • Priest G.
        • Smith J.
        • Wilson M.G.
        Implant survival and prosthetic complications of mandibular metal-acrylic resin implant complete fixed dental prostheses.
        J Prosthet Dent. 2014; 111: 466-475